Lake Marion Chiropractic Center PA
NPI 1225115405 · Sports Physician Chiropractor · Lakeville, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Marion Chiropractic Center PA is a Sports Physician Chiropractor organization in Lakeville, MN (NPI 1225115405).
Provider details
- NPI number
- 1225115405
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Craig Couillard, President(952) 469-8385
- License
- 3955 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lake Marion Chiropractic Center PA's NPI number?
- Lake Marion Chiropractic Center PA's National Provider Identifier (NPI) is 1225115405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Marion Chiropractic Center PA?
- Lake Marion Chiropractic Center PA is classified in the NPPES registry as Sports Physician Chiropractor (Chiropractic Providers).
- Where is Lake Marion Chiropractic Center PA located?
- Lake Marion Chiropractic Center PA's practice location on file with NPPES is 20176 Heritage Dr, Lakeville, MN 55044-6855.
- What is Lake Marion Chiropractic Center PA's phone number?
- The practice phone number listed in the NPPES registry for Lake Marion Chiropractic Center PA is (952) 469-8385.
- Does Lake Marion Chiropractic Center PA accept Medicare?
- Lake Marion Chiropractic Center PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Marion Chiropractic Center PA?
- The authorized official listed on Lake Marion Chiropractic Center PA's NPPES record is Craig Couillard, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Marion Chiropractic Center PA's NPI active?
- Yes — Lake Marion Chiropractic Center PA's NPI (1225115405) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.